OF347-Draft_Delivery_Order_sample.pdf
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- Solicitation number
- 70Z023-18-R-2DAU04
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Draft 1st Delivery Order (OF347)
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ORDER FOR SUPPLIES OR SERVICES
3. ORDER NO. 4. REQUISITION/REFERENCE NO.
PAGE OF PAGES
5. ISSUING OFFICE (Address correspondence to) b. STREET ADDRESS
IMPORTANT: Mark all packages and papers with contract and/or order numbers. 1
1. DATE OF ORDER 2. CONTRACT NO. (If any) 6. SHIP TO:
a. NAME OF CONSIGNEE
c. CITY d. STATE e. ZIP CODE
7. TO:
a. NAME OF CONTRACTOR
f. SHIP VIA
8. TYPE OF ORDER
b. COMPANY NAME
c. STREET ADDRESS
d. CITY e. STATE f. ZIP CODE
9. ACCOUNTING AND APPROPRIATION DATA
a. PURCHASE b. DELIVERY
REFERENCE YOUR:
Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.
Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.
10. REQUISITIONING OFFICE
11. BUSINESS CLASSIFICATION (Check appropriate box(es))
a. SMALL b. OTHER THAN SMALL c. DISADVANTAGED d. WOMEN-OWNED
13. PLACE OF
a. INSPECTION b. ACCEPTANCE
14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT 16. DISCOUNT TERMS
17. SCHEDULE (See reverse for Rejections)
70Z02318F2DAU0400
USCG HEADQUARTERS (CG-912)
2703 MARTIN LUTHER KING JR AVE SE
Washington DC 205930001
See Schedule
12. F.O.B. POINT
Destination
ON OR BEFORE (Date)
USCG HEADQUARTERS
Washington DC 20593
Proposal
CG-931
ITEM NO.
(a)
SUPPLIES OR SERVICES
(b)
QUANTITY
ORDERED
(c)
UNIT
(d)
UNIT
PRICE
(e)
AMOUNT
(f)
QUANTITY
ACCEPTED
(g)
X
Destination Destination
2703 MARTIN LUTHER KING JR AVE SE
70Z02318D2DAU0400
f. SERVICE-DISABLED
VETERAN-OWNED
e. HUBZone
g. WOMEN-OWNED SMALL BUSINESS (WOSB)
ELIGIBLE UNDER THE WOSB PROGRAM
h. EDWOSB
Admin Office:
USCG HEADQUARTERS (CG-912)
2703 MARTIN LUTHER KING JR AVE SE
Washington DC 205930001
Continued ...
19. GROSS SHIPPING WEIGHT18. SHIPPING POINT 20. INVOICE NO.
21. MAIL INVOICE TO:
a. NAME
b. STREET ADDRESS
(or P.O. Box)
c. CITY d. STATE e. ZIP CODE
SEE BILLING
INSTRUCTIONS
ON REVERSE
17(h)
TOTAL
(Cont.
pages)
17(i)
GRAND
TOTAL
$0.00
22. UNITED STATES OF
AMERICA BY (Signature)
23. NAME (Typed)
TITLE: CONTRACTING/ORDERING OFFICER
Jerry Low
$0.00
OPTIONAL FORM 347 (Rev. 2/2012)
Prescribed by GSA/FAR 48 CFR 53.213(f)
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE
Commanding Officer
CG Finance Center
1430A Kristina Way
Chesapeake VA 23326-0624
DATE OF ORDER
ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION
AMOUNTUNIT
PRICE
UNITQUANTITY
ORDERED
SUPPLIES/SERVICESITEM NO.
IMPORTANT: Mark all packages and papers with contract and/or order numbers.
QUANTITY
ACCEPTED
ORDER NO.
70Z02318F2DAU0400
PAGE NO
(a) (b) (c) (d) (e) (f) (g)
CONTRACT NO.
70Z02318D2DAU0400
Accounting Info: TBD
0001AA PREDEPLOYMENT INSTALL SUPPORT NSC (2018) 1 LT TBD TBD
0001AB PREDEPLOYMENT INSTALL SUPPORT NSC (2019) 1 LT TBD TBD
The total amount of award: $TBD.00. The obligation for this base award is shown in box 17(i).
Prescribed by GSA FAR (48 CFR) 53.213(f)
OPTIONAL FORM 348 (Rev. 4/2006)AUTHORIZED FOR LOCAL REPODUCTION
PREVIOUS EDITION NOT USABLE
TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $0.00
(Firm-Fixed Price)
(Firm-Fixed Price)
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